MU Stage 2 Measures

National Quality Forum

Measure number and name

Clinical Quality Measure Description

0105

Antidepressant medication management:

(a) Effective Acute Phase Treatment

(b) Effective Continuation Phase Treatment

The percentage of patients 18 years of age and older who were diagnosed with a new episode of major depression, treated with antidepressant medication, and who remained on an antidepressant medication treatment. Two rates are reported.

(a) Percentage of patients who remained on an antidepressant medication for at least 84 days (12 weeks)

(b) Percentage of patients who remained on an antidepressant medication for at least 180 days (6 months)

0004

Initiation and Engagement of Alcohol and Other Drug Dependence Treatment:

(a) Initiation

(b) Engagement

The percentage of patients 13 years of age or older with a new episode of alcohol and other drug (AOD) dependence who received the following. Two rates are reported.

(a) Percentage of patients who initiated treatment within 14 days of the diagnosis

(b) Percentage of patients who initiated treatment and who had two or more additional services with an AOD diagnosis within 30 days of the initiation visit

Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND received cessation counseling intervention if identified as a tobacco user.

0022

Use of High-Risk Medications in the Elderly

Percentage of patients ages 65 years and older who received at least one high-risk medication. Percentage of patients 65 years of age and older who received at least two different high-risk medications.

(a) Percentage of patients who were ordered at least one high-risk medication

(b) Percentage of patients who were ordered least two high-risk medications during the measurement year

0101

Falls: Screening for Fall Risk

Percentage of patients aged 65 years and older who were screened for future fall risk during the measurement period.

0104

Major Depressive Disorder (MDD): Suicide Risk Assessment

Percentage of patients aged 18 years and older with a new diagnosis or recurrent episode of MDD who had a suicide risk assessment completed at each visit during the measurement period.

Percentage of children 6-12 years of age as of age and newly dispensed a medication for attention deficit/hyperactivity disorder (ADHD) who had appropriate follow up care. Two rates are reported.

(a) Initiation Phase: Percentage of children who had one follow up visit with a practitioner with prescribing authority during the 30-day initiation phase

(b) Percentage of children who remained on ADHD medication for at least 210 days and who, in addition to the visit in the initiation phase, had at least two additional follow-up visits with a practitioner within 270 days (9 months) after the initiation phase ended

0110

Bipolar Disorder and Major Depression: Appraisal for Alcohol or Chemical Substance Use

Percentage of patients with depression or bipolar disorder with evidence of an initial assessment that includes an appraisal for alcohol or chemical substance use.

Percentage of patients aged 12 years and older screened for clinical depression on the date of the encounter using an age-appropriate standardized depression screening tool AND, if positive, a follow up plan is documented on the date of the positive screen.

0419

Documentation of Current Medications in the Medical Record

Percentage of specified visits for patients 18 years and older for which the eligible professional attests to documenting a list of current medications to the best of his/her knowledge and ability. This list must include ALL prescriptions, over the counter, herbals and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency, and route of administration.

0421

Adult Weight Screening and Follow-Up

Percentage of patients aged 18 years and older with a calculated body mass index (BMI) in the past 6 months or during the current reporting period documented in the medical record AND if the most recent BMI is outside of normal parameters, a follow-up plan is documented within the past 6 months or during the current reporting period.

Normal Parameters: Age 65 years and older BMI = 23 and &lt; 30.

Age 18-64 years BMI = 18.5 and &lt; 25.

0710

Depression Remission at 12 Months

Adult patients age 18 and older with major depression or dysthymia and an initial PHQ-9 score &gt; 9 who demonstrate remission at 12 months defined as PHQ-9 score less than 5. This measure applies to both patients with newly diagnosed and existing depression whose current PHQ-9 score indicates a need for treatment.

0712

Depression Utilization of the PHQ-9 Tool

Adult patients age 18 and older with the diagnosis of major depression or dysthymia who have a PHQ-9 tool administered at least once during a 4-month period in which there was a qualifying visit.